Cardiovascular diseases (CVD) are the leading cause of death worldwide and they disproportionally affect people living in disadvantaged communities. Nurse-led behaviour change interventions have shown great promise in preventing CVD. However, knowledge regarding the impact and nature of such interventions in disadvantaged communities is limited. This review aimed to address this knowledge gap. A six-stage scoping review framework developed by Arksey and O'Malley, with revisions by Levac et al., was used. The search process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Extension for Scoping Reviews (PRISMA-ScR). Three electronic databases were searched (PUBMED/MEDLINE, CINAHL Plus, and Cochrane CENTRAL), and included studies were analysed using Braun and Clarke's ‘Thematic Analysis’ approach. Initial searches yielded 952 papers and 30 studies were included in the review following duplicate, title/abstract, and full-text screening. The included studies indicate that nurse-led behaviour change primary prevention interventions in disadvantaged areas are largely effective; albeit the considerable variety of intervention approaches, study populations and outcome measures used to date make it difficult to ascertain this. Other identified key areas in the promotion of nurse-led behaviour change included tailoring interventions to specific populations, providing adequate training for nurses, overcoming patient access difficulties and encouraging patient engagement. Overall, the findings indicate that nurse-led behaviour change interventions for high-risk CVD patients in disadvantaged areas show much promise, although there is considerable variety in the interventions employed and studied to date. Further research is needed to examine the unique barriers and facilitators of interventions for specific disadvantaged groups.

中文翻译：

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促进以护士为主导的行为改变干预措施以预防弱势社区的心血管疾病：范围界定审查

心血管疾病 (CVD) 是全世界死亡的主要原因，它们对生活在弱势社区的人们的影响尤为严重。护士主导的行为改变干预措施在预防 CVD 方面显示出巨大希望。然而，关于此类干预措施对弱势社区的影响和性质的了解是有限的。本综述旨在解决这一知识差距。使用了由 Arksey 和 O'Malley 开发并由 Levac 等人修订的六阶段范围界定审查框架。搜索过程以系统评价的首选报告项目和范围界定评价的元分析扩展 (PRISMA-ScR) 为指导。搜索了三个电子数据库（PUBMED/MEDLINE、CINAHL Plus 和 Cochrane CENTRAL），并使用 Braun 和 Clarke 的“主题分析”方法对纳入的研究进行了分析。初步搜索产生了 952 篇论文，30 项研究在重复、标题/摘要和全文筛选后被纳入审查。纳入的研究表明，护士主导的行为改变初级预防干预措施在弱势地区基本有效；尽管迄今为止使用的干预方法、研究人群和结果测量的种类繁多，但很难确定这一点。其他已确定的促进护士主导行为改变的关键领域包括针对特定人群量身定制干预措施、为护士提供充分培训、克服患者接触困难和鼓励患者参与。总的来说，研究结果表明，针对弱势地区的高危 CVD 患者，护士主导的行为改变干预措施显示出很大希望，尽管迄今为止采用和研究的干预措施种类繁多。需要进一步的研究来检查针对特定弱势群体的干预措施的独特障碍和促进因素。